| NPI | 1558954719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 6381120) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2026-07-30 |