| NPI | 1871764704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9858) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 871) |
| 106H00000X Marriage & Family Therapist (Licence: WY 146) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2025-06-26 |