| NPI | 1932567989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C436139139873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451015258) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2024-09-04 |