| NPI | 1992156442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 104440) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0122339) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2025-12-18 |