| NPI | 1700937356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 85397) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8887) |
| 101YP2500X Counselor, Professional (Licence: NC 4482) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2025-09-11 |