| NPI | 1427080118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD ACO324) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 1362) |
| 101YP2500X Counselor, Professional (Licence: MD LC1567) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-09-11 |