| NPI | 1841530367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0871) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NH 1978) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2024-03-13 |