| NPI | 1619503752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 10619) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 10619) | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2021-01-15 |