| NPI | 1659080422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-29537) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-03-09 |