| NPI | 1457917775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 2201) |
| 104100000X Social Worker (Licence: SC 17644) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-08-11 |