| NPI | 1598223232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1012-7-1-19-447) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1816) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2025-10-07 |