| NPI | 1255806188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-01-11 |