| NPI | 1699122838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P009955) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21231) |
| 1041C0700X Social Worker, Clinical (Licence: NC CC011035) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925898) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-03-11 |