| NPI | 1699928986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 4465) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 198226) |
| 101YP2500X Counselor, Professional (Licence: WI 06951233) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2021-04-06 |