| NPI | 1780461319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01229-T) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04483) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2024-10-17 |