| NPI | 1912399262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1745) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5970) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2020-10-06 |