| NPI | 1710860218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PR 004779) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR ATAC-200-1-8563) |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-10-26 |