| NPI | 1609516707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17461) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 9998) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 27975) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-07-28 |