| NPI | 1548707029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA t17012) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 112110) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2025-12-17 |