| NPI | 1023853744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-27 |