| NPI | 1952838971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 1334) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2020-08-04 |