| NPI | 1396125191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: C011395) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-22105) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC CCS-21491) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2022-06-27 |