| NPI | 1497474845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 14091410-6006) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 104100000X Social Worker (Licence: UT 14091410-3503) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2025-09-19 |