| NPI | 1740806330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861759) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CADC-11884) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 11884) | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2025-06-23 |