| NPI | 1811485550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 164) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 164) |
| 251B00000X Case Management (Licence: GA 164) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |