| NPI | 1336443571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 8377) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: NC 8377) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2025-12-12 |