| NPI | 1386802064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 70133943502) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-04-18 |