| NPI | 1669880381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 943-4-1-18-390) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1738) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2024-03-11 |