| NPI | 1467984732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 1537) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 11292) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2019-08-22 |