| NPI | 1477334704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2026-07-16 |