| NPI | 1376856484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15561-135) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15955-132) |
| 104100000X Social Worker (Licence: WI 127338-121) | |
| 1041C0700X Social Worker, Clinical (Licence: DC 886538457) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-002019-2014) | |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2026-01-20 |