| NPI | 1528569662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1837) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5039) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-09-18 |