| NPI | 1831695154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 5398) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: 5398) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |