| NPI | 1437250487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011231) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS20063) |
| 101YP2500X Counselor, Professional (Licence: NC 5457) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-06-28 |