| NPI | 1003540873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2393) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-2060) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3748) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-10-03 |