| NPI | 1750013538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018026) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27820) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018613) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 18010) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-07-06 |