| NPI | 1912917352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2137) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 2137) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 38635) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162616) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 4127) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-12-28 |