| NPI | 1386184950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 1464) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2024-07-18 |