| NPI | 1437734027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CASAC-33746) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 33746) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |