| NPI | 1396388112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 172A00000X Driver | |
| 372600000X Adult Companion | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2025-06-17 |