| NPI | 1811342512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA CAADC) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131679) |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2022-11-27 |