| NPI | 1609972140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7807) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7032) |
| 101YP2500X Counselor, Professional (Licence: CO 5053) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-05-24 |