| NPI | 1790276863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014569) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24626) |
| 1041C0700X Social Worker, Clinical (Licence: NC P012398) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-08-18 |