| NPI | 1659462794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2047L) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 5485) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-04-26 |