| NPI | 1225572142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 21393) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD SC2052) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2023-08-25 |