| NPI | 1447831045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DE q4-0010151) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE Q4-0010151) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |