| NPI | 1154823888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC LCSWA-P013130) |
| 1041C0700X Social Worker, Clinical (Licence: NC C013921) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-03-16 |