| NPI | 1346727559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013617) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26416) |
| 1041C0700X Social Worker, Clinical (Licence: NC p012723) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2021-10-01 |