| NPI | 1326781170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17960) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-272922) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC16318) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2026-09-24 |