| NPI | 1285787747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 751) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-09-11 |