| NPI | 1700583812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709025083) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-02-13 |