| NPI | 1467044537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 70559) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-04-09 |