| NPI | 1699326090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC011451-2015) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 50516) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 121425) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 190) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |