| NPI | 1700451945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012824) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW026774) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2026-02-09 |