| NPI | 1689227878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8911164) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 5085) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 13033) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-12-05 |