| NPI | 1780189720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C014990) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS26085) |
| 1041C0700X Social Worker Clinical (Licence: KY 257086) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-06-27 |