| NPI | 1194696435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 17186) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA LAC-5184) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |