| NPI | 1740883891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 15097) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C015812) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 25548) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2023-08-03 |