| NPI | 1508428202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25758) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014360) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014913) | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2026-01-06 |