| NPI | 1952479149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 34) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 2632) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-05-30 |