| NPI | 1629375787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 7491770-6006) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2025-09-03 |