| NPI | 1689838088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007144) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2023-12-28 |