| NPI | 1154188019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 31608) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD SC2305) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2025-01-10 |