| NPI | 1275278251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: NC P017188) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |