| NPI | 1801765441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |