| NPI | 1942601349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| 246QM0706X Spec/Tech, Pathology, Medical Technologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2026-05-03 |