| NPI | 1093287872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2026-09-30 |