| NPI | 1508267030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P009193) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21138) |
| 1041C0700X Social Worker, Clinical (Licence: NC C010509) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2022-12-07 |