| NPI | 1831630177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: NC C95752) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-08-29 |