| NPI | 1447766811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012962) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2018-10-02 |