| NPI | 1922654979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24530) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A14326) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |