| NPI | 1598516619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |