| NPI | 1588091235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 11540033) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW-28715) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2024-07-02 |