| NPI | 1568150464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-28910) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 710103757) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 1198) | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |