| NPI | 1710170451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LIAC-155368) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2025-07-23 |