| NPI | 1013141043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6780) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: TX 64401) | |
| 101YP2500X Counselor, Professional (Licence: SC 7006) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2025-03-19 |