| NPI | 1922269570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NC 1095) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1095) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-05-30 |