| NPI | 1326780511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 10591268-6018) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 10591268-3503) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-04-08 |