| NPI | 1730710880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-19-107976) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-06-27 |