| NPI | 1164149779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P021225) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2025-06-25 |