| NPI | 1407219090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1621) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2018-09-20 |