| NPI | 1457617342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5562) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 508958) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 1411259) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-12-20 |