| NPI | 1487305843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002047) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LIAC155304) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS9077) | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-08-24 |