| 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 |