| NPI | 1588416002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 15228) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01954) |
| 174400000X Specialist (Licence: MO 15342) | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2025-06-23 |