| NPI | 1033341169 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 3093)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-08-24 | 
| Last Update Date | 2025-06-04 |