| NPI | 1467894394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5697-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16779-130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15946-131) | |
| 101YP2500X Counselor, Professional (Licence: WI 2035-226) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2023-04-05 |