| NPI | 1215659826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 16282) |
| 104100000X Social Worker (Licence: 109245) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-01-13 |