| NPI | 1184290975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P016172) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-27334) |
| 101YP2500X Counselor Professional (Licence: NC P016172) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-08-23 |