| NPI | 1710030523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 658) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 4242) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-03-09 |