| NPI | 1891212825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: SC 33508) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |