| NPI | 1578133104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7140-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 7140-125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2021-06-27 |