| NPI | 1962968214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20343) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23043) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 23043) | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2026-05-26 |