| NPI | 1437773546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1412) |
| Additional Taxonomies | 251B00000X Case Management |
| 101Y00000X Counselor (Licence: MS 1412) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |