| NPI | 1477036176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-24616) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P022721) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-08-25 |