| NPI | 1609179035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22955) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2019-07-23 |