| NPI | 1932131836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 962-7-15-18-342) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1271) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-10-09 |