| NPI | 1467860437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010275) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C010275) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20963) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2017-04-27 |