| NPI | 1629847587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |