| NPI | 1134838212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-09-12 |