| NPI | 1477909455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006463) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0718000324) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 071010213) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2020-01-03 |