| NPI | 1184370033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 23217) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2026-07-14 |