| NPI | 1639445687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW009347) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2024-11-04 |