| NPI | 1033978481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 130665) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-28599) |
| 101YM0800X Counselor, Mental Health (Licence: NC 18264) | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-03-18 |