| NPI | 1730627936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-29681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P020259) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CADC-3012) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2025-09-22 |