| NPI | 1396453122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 19648-130) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 3344-127) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |