| NPI | 1982570602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MCAP.0101206) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MCAP.0101206) |
| 101Y00000X Counselor (Licence: FL MCAP.0101206) | |
| 251S00000X Community/Behavioral Health (Licence: FL MCAP.0101206) | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-24 |