| NPI | 1376177071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1439) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 22R101) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 51) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2024-11-14 |