| NPI | 1649930405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P017505) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 23660) | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-07-26 |