| NPI | 1538886197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SD 6215) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 14091665) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-03-28 |