| NPI | 1083016943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ 10410) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13837) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2025-06-04 |