| NPI | 1447669155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ C7LC00203000) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 44001010) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23050) | |
| 101Y00000X Counselor (Licence: NC CSAC-20068) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2016-12-30 |