| NPI | 1346112497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |