| NPI | 1588773170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 794) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC S3804) |
| 101YP2500X Counselor, Professional (Licence: NC 3804) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-10-11 |