| NPI | 1447921341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2022-07-21 |