| NPI | 1447727185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 127570) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 253581) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KY 243469) | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2025-05-27 |