| NPI | 1699106013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 6594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6594) |
| 101YP2500X Counselor, Professional (Licence: SC 5712) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2019-11-07 |