| NPI | 1164126611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-03-22 |