| NPI | 1922886324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-10-30 |