| NPI | 1407267990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 876-6-1-16-331) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1729) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2026-04-23 |