| NPI | 1811220692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25979) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2022-02-11 |