| NPI | 1780830596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9417) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3470-A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3470) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-05-12 |