| NPI | 1215365903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 28718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A20848) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2025-05-08 |