| NPI | 1558112805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 297550) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 104100000X Social Worker (Licence: KY 256284) | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2026-04-14 |