| NPI | 1306203880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA3165) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MD SC1812) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2023-01-06 |