| NPI | 1790339554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 7062) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2021-02-25 |