| NPI | 1477311025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 29742) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A22202) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2026-04-14 |