| NPI | 1487182382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P016027) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical (Licence: NC P020420) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2025-07-29 |