| NPI | 1447641758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10597) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20682) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS - A 20682) | |
| 101YP2500X Counselor, Professional (Licence: NC A10597) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2021-01-21 |