| NPI | 1023887841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-78632) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MT BBH-SWLC-LIC-68438) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2025-03-06 |