| NPI | 1821510223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R44670) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-01-26 |