| NPI | 1932905098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| 225C00000X Rehabilitation Counselor | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |