| NPI | 1154068229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: WI 11565-123) | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-02-08 |