| NPI | 1104163625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P015291) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC lCAS-A -21455) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2021-02-01 |