| NPI | 1730623976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26540) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014856) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2023-01-25 |