| NPI | 1942698881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1732) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 760-8-1-13-272) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2016-10-18 |