| NPI | 1689198582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0085811) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3445) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0085811) | |
| 101YP2500X Counselor, Professional (Licence: 0085811) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |