| NPI | 1194296749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013650) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-25246) |
| 1041C0700X Social Worker Clinical (Licence: NC P013128) | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2025-06-10 |