| NPI | 1467045583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 8861532) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-40393) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2025-11-22 |