| NPI | 1457620817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0614) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164005585) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2023-07-31 |