| NPI | 1326635004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26535) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014961) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2023-11-20 |