| NPI | 1457516833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15588-130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4482-125) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2024-10-22 |