| NPI | 1487406021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 29490) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: NC 22426) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |