| NPI | 1740350461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 635) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-10-07 |