| NPI | 1275381337 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 27837) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A19908) | 
| Enumeration Date | 2024-05-13 | 
| Last Update Date | 2025-09-03 |