| NPI | 1831605823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 19034) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 15201) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 15167) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 13314) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2025-06-04 |