| NPI | 1013652833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3300) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS 3300) |
| 106H00000X Marriage & Family Therapist (Licence: MS 3300) | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-07-12 |