| NPI | 1699477414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 18286) |
| 104100000X Social Worker (Licence: SC 16155) | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2025-10-23 |