| NPI | 1801688411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-79690) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-81383) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-09-12 |