| NPI | 1508610536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P016820) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-09-13 |