| NPI | 1720439201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22294) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2017-11-20 |