| NPI | 1831530930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5633-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16953-130) |
| 101YP2500X Counselor, Professional (Licence: WI 1821-226) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2022-06-29 |