| NPI | 1437413192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1454) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4907) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-02-04 |