| NPI | 1871254888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 14222388-6006) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: UT F24-112645) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-07-09 |