| NPI | 1992674774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP17201) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP17201) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LGP17201) | |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-11-07 |