| NPI | 1023701315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| 101200000X Drama Therapist | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2026-01-06 |