| NPI | 1649977216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MCAP.0101162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH26964) |
| 101YP2500X Counselor, Professional (Licence: FL MCAP.0101162) | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2025-07-24 |