| NPI | 1669269213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10698) |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2026-05-11 |