| NPI | 1407216427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0133741) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 1054) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 703124) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |