| NPI | 1932627205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 7233) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0001331) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0014007) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2026-01-06 |