| NPI | 1982943346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001517A) |
| 101Y00000X Counselor | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2021-07-12 |