| NPI | 1649218041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451023777) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00633) |
| 101YP2500X Counselor, Professional (Licence: MI 6451023777) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2026-07-06 |