| NPI | 1861380131 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 374J00000X Doula | |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2026-07-01 |