| NPI | 1114440807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012436) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23798) |
| 1041C0700X Social Worker, Clinical (Licence: NC CO12436) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-10-28 |