| NPI | 1033490115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008521) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20894) |
| 1041C0700X Social Worker, Clinical (Licence: SC 11178) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2023-01-17 |