| NPI | 1386081107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009547) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-3434) |
| 1041C0700X Social Worker Clinical (Licence: NC P008083) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-03-09 |