| NPI | 1164709465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-753) |
| 101YM0800X Counselor, Mental Health (Licence: NE 8779) | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2025-03-05 |