| NPI | 1558055566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-09-02 |