| NPI | 1528441763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103K00000X Behavior Analyst | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-07-22 |