| NPI | 1679948228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PR CPL4185) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR CPL4185) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2018-01-31 |