| NPI | 1134527625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3181) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC1500) |
| 101YP2500X Counselor, Professional (Licence: DC 14038) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC14038) | |
| 101YP2500X Counselor, Professional (Licence: MD 3181) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2025-03-20 |