| NPI | 1538457841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM C-08862) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 164211) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 164211) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2025-07-23 |