| NPI | 1073788220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24439) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005810) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2020-10-14 |