| NPI | 1477424042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE p-2360) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE p-14832) |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2026-03-31 |