| NPI | 1932246527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18306-130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3395) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-06-28 |