| NPI | 1417098583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 11515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 95352829) |
| 163W00000X Registered Nurse (Licence: AZ 249278) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2024-04-10 |