| NPI | 1801224241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12788) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23115) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CCS-20934) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CADC-14939) | |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2020-03-24 |