| NPI | 1104309731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P012475) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26312) |
| 1041C0700X Social Worker, Clinical (Licence: NC C013315) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2020-11-01 |