| NPI | 1952036022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-06-26 |