| NPI | 1003095191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010139) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 7537-120) |
| 104100000X Social Worker (Licence: WI 127292-121) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 14199-130) | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2022-02-24 |