| NPI | 1891100400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC1901) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD 30AL2801) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2021-12-03 |