| NPI | 1972261782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 284) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 22730) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |