| NPI | 1427625433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17276-132) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 8254-226) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2025-09-16 |