| NPI | 1124972328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 2050) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5898) |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-27 |