| NPI | 1497324453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 57571) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT 43179) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-01-27 |