| NPI | 1437838505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 29179) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 21218) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-05-27 |