| NPI | 1619641867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017457) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-30286) |
| 1041C0700X Social Worker, Clinical (Licence: SC 18317) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34012244A) | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2025-11-11 |