| NPI | 1356287247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 10883) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC ADC-2405) |
| Enumeration Date | 2026-04-24 |
| Last Update Date | 2026-09-10 |