| NPI | 1891505327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14831) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-2162) | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2026-05-07 |