| NPI | 1447349832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3564-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI CADC-D #13860) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-12-09 |