| NPI | 1255564472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 27265) |
| 1041C0700X Social Worker, Clinical (Licence: NC P017392) | |
| 251E00000X Home Health (Licence: NC HC5684) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC P017392) | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2023-09-12 |