| NPI | 1437426269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15891-130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1493) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2023-11-27 |