| NPI | 1558861872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 939-3-1-18) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1820) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2021-02-26 |