| NPI | 1356685671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009081) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20578) |
| 101YM0800X Counselor, Mental Health (Licence: NC C009081) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2020-09-16 |