| NPI | 1104506724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC P019442) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 27959) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-10-02 |