| NPI | 1568144384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS AD23-043W) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 3044-22) | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |