| NPI | 1477224012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26823) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A16395) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |