| NPI | 1407239585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6779) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 454) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 1802226) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-08-14 |