| NPI | 1659738656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 10777) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7040) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2017-04-19 |