| NPI | 1346125606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL ISW19462) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW19462) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL ISW19462) | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |