| NPI | 1396085759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5813-125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16313-130) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2022-05-10 |