| NPI | 1578849857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018099) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2026-03-09 |