| NPI | 1710614250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 1341-1-1-24-579) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2026-02-10 |