| NPI | 1669215232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP1735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LGP1735) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 831182) | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2026-01-07 |