| NPI | 1104174036 |
|---|---|
| Former Name | MONICA PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P016479) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS20224) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2022-07-08 |