| NPI | 1477395010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0709024951) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0732003500) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0733006292) | |
| 101YP2500X Counselor Professional (Licence: VA 0704015991) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |