| NPI | 1144065004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710103401) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |