| NPI | 1811438104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 7404-125) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16279-131) |
| 101YP2500X Counselor Professional (Licence: WI 3546-226) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-12-12 |