| NPI | 1003566860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0906013440) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709024617) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709024530) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2025-11-04 |