| NPI | 1508079948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2427) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6417) |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-11-29 |