| NPI | 1750394615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003367) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA333) |
| 101YP2500X Counselor, Professional (Licence: MD LC0413) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-02-01 |