| NPI | 1073806451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012583) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22511) |
| 1041C0700X Social Worker, Clinical (Licence: NC P011167) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2025-11-12 |