| NPI | 1093401010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A20503) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 28641) |
| 101YM0800X Counselor Mental Health (Licence: NC A20503) | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2025-08-19 |