| NPI | 1730918913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LASAC-15549) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-08-01 |