| NPI | 1184157349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1810) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5516) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2026-07-30 |