| NPI | 1467918243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2022-01-19 |