| NPI | 1629887989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW12385) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LMAC01058) |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-27 |