| NPI | 1679232326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P020349) |
| 1041C0700X Social Worker, Clinical (Licence: NC p020349) | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2026-06-15 |