| NPI | 1740845858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 8077202-6006) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 8077202-3503) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |