| NPI | 1851785364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00357-I) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 5432) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 11882) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |