| NPI | 1679049225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-11873) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C013625) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-24862) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-02-08 |