| NPI | 1760879191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068-0120531) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-11-07 |