| NPI | 1033652391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009670) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101607) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2024-01-23 |