| NPI | 1740730993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010460) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-08-20 |