| NPI | 1982191342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 4427) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: PR 1600) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2019-09-10 |