| NPI | 1568179398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC20000206) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC LC20000206) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014497) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2025-07-14 |