| NPI | 1790802536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2070) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 9397) |
| 101YP2500X Counselor, Professional (Licence: NC A9397) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-02-07 |