| NPI | 1558864124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 9707960) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 510956) |
| 405300000X Prevention Professional (Licence: SD 700156) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |