| NPI | 1275116576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA 18377) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW024038) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC06388400) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-01-02 |