| NPI | 1851564132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK CADC UNDER SUPERVISO) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK CADC UNDER SUPERVISI) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2023-06-16 |