| NPI | 1841436490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0013609) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004501) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2021-03-31 |