| NPI | 1043553894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2025-08-19 |