| NPI | 1598301624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9748) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-10-11 |