| NPI | 1942545512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P 1094) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2318) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2023-12-05 |