| NPI | 1841212263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701002107) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701002107) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0718000060) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-03-29 |