| NPI | 1962970293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 14085) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-23931) |
| 101YP2500X Counselor Professional (Licence: NC 14085) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2025-05-22 |