| NPI | 1275309296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1964) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 6365) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-06-10 |