| NPI | 1275132789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26238) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014615) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-11-25 |