| NPI | 1457945735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015515) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27832) |
| 1041C0700X Social Worker, Clinical (Licence: SC 17110) | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-07-18 |