| NPI | 1629141858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23178) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009143) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2017-08-02 |