| NPI | 1902194467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3546-A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P006303) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-07-27 |