| NPI | 1487211827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CADC-26186) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2020-08-03 |