| NPI | 1770059826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A22704) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-262921) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2026-07-02 |