| NPI | 1346781333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC16515) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DE PC0011796) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: PA PC013697) | |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2025-07-02 |