| NPI | 1154996536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-57045) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-49989) | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2022-10-12 |