| NPI | 1700315447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6566) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 1605109) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 508417) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-11-28 |