| NPI | 1518580182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302718) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16265-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-01642) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |