| NPI | 1871951046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 7462) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2021-03-04 |