| NPI | 1457019507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC-5152) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLC9905) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2024-11-22 |