| NPI | 1518272152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S10290) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20476) |
| 101YP2500X Counselor, Professional (Licence: NC 10290) | |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2022-04-22 |