| NPI | 1144764648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5150) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 16864) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2026-06-09 |