| NPI | 1225929730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP16677) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP16677) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LGP16677) | |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-12 |