| NPI | 1689968521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1827) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1649) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60547640) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-15029) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2019-11-22 |