| NPI | 1396690210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 29085) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 29085) |
| 101Y00000X Counselor (Licence: FL 29085) | |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-06 |