| NPI | 1851771539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 888-10-15-16-377) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1765) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2024-01-05 |