| NPI | 1558092411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A17058) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-12-07 |