| NPI | 1457652331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 10082513) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 15755) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2024-02-02 |