| NPI | 1821508698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 984-12-01-18-411) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 1804) |
| 101YP2500X Counselor, Professional (Licence: ND 984-12-01-18A) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2022-05-06 |