| NPI | 1447655634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21179) |
| 1041C0700X Social Worker, Clinical (Licence: NC C010491) | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2025-03-05 |