| NPI | 1285356295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A23232) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CADC-30173) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2026-08-04 |