| NPI | 1457620817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2024-1094) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0614) |
| 133V00000X Dietitian, Registered (Licence: IL 164005585) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2025-08-20 |