| NPI | 1467104596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ 23536) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 22072) |
| 104100000X Social Worker (Licence: IA 113908) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 9089) | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2026-08-07 |