| NPI | 1811865645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 097.0136086) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 149.0133948) |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |