| NPI | 1689208985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C14948) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-26211) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2022-10-10 |