| NPI | 1023686375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P016523) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-26994) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-07-22 |