| NPI | 1013446038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 18051-130) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 132419) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-08-09 |