| NPI | 1790514487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-28895) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P019859) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |