| NPI | 1619470549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21992) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 12311) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-11-27 |