| NPI | 1568821759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical (Licence: NC P010152) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-03-24 |