| NPI | 1356197727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 12097-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20534-130) |
| 101Y00000X Counselor (Licence: WI 7834-226) | |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2025-09-30 |