| NPI | 1831633858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22651) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NC LCAS-22651) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2021-11-11 |