| NPI | 1194557975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-04-17 |