| NPI | 1720974314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |