| NPI | 1568836781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1928) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 4979) |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2022-10-20 |