| NPI | 1568518934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401012186) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-07-21 |