| NPI | 1295354355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-9471661) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 122928) |
| 104100000X Social Worker (Licence: ID LMSW-9471661) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-08-07 |