| NPI | 1619754256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020296) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NC LCAS-29717) |
| 104100000X Social Worker (Licence: GA MSW011520) | |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2025-06-02 |