| NPI | 1336803394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017316) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2022-03-04 |