| NPI | 1164872347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22835) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010583) |
| 1041C0700X Social Worker, Clinical (Licence: NC C011684) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2020-06-29 |