| NPI | 1801298989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014139) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000972) |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-09-21 |
| Last Update Date | 2023-05-17 |