| NPI | 1689941890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 5691) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 482) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2023-11-21 |