| NPI | 1669717930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 9236) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 9236) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2020-05-22 |