| NPI | 1639864879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: FL FL-23-0022) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 05-20-39-34) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-12-21 |