| NPI | 1710281456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15443-132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15240-130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15465-133) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2014-09-23 |