| NPI | 1871216861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-01841) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT CAC-7002) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 22-306R) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI 201322) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |