| NPI | 1932493368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8764) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1635) |
| 101YM0800X Counselor, Mental Health (Licence: NC 8764) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2025-12-04 |