| NPI | 1679814388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 1901313) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 507390) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 31) | |
| 101YP2500X Counselor, Professional (Licence: SC 5604) | |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2019-11-14 |