| NPI | 1851101414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-87923) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MT BBH-SWLC-LIC-81205) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2026-02-27 |