| NPI | 1255010328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW21749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21749) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW21749) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |