| NPI | 1093072423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009917) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-2937) |
| 1041C0700X Social Worker, Clinical (Licence: NC P006763) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2022-06-27 |