| NPI | 1689944142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 144122) |
| 1041C0700X Social Worker, Clinical (Licence: AR 22429-C) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C017062) | |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2026-03-05 |