| NPI | 1124719315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-9552) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-9552) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101Y00000X Counselor (Licence: ID LPC-9552) | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2026-03-05 |