| NPI | 1225743230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 11553-123) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 19773) |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker (Licence: 11553-123) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-07-24 |