| NPI | 1336686344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 1665) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 806054) |
| 104100000X Social Worker (Licence: DE Q3-0000097) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2025-06-10 |