| NPI | 1891980645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: LA PLC10360) | |
| 225X00000X Occupational Therapist (Licence: LA Z11805) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2025-03-31 |