| NPI | 1063993434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012244) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21689) |
| 1041C0700X Social Worker, Clinical (Licence: NC P010619) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2022-03-12 |