| NPI | 1699148361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11982) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21512) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21364) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2020-10-21 |