| NPI | 1255003877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3322) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1506) |
| 101YM0800X Counselor, Mental Health (Licence: IA 129284) | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2025-10-28 |