| NPI | 1255485371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 4251) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 020580) |
| 1041C0700X Social Worker, Clinical (Licence: SD 2156) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2025-09-11 |