| NPI | 1386370237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018499) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-28343) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-01-05 |