| NPI | 1902188212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8032-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 8032-125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15749-132) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2025-10-27 |