| NPI | 1336640879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0566) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2021-04-30 |