| NPI | 1699444356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-05-31 |