| NPI | 1265855258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 2006) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 4927) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2025-03-07 |