| NPI | 1467793828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AL 2962) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2021-04-01 |