| NPI | 1992576979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1523) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000018) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 13207) | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2025-04-07 |