| NPI | 1801157177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 6442) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6442) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 015054) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 10100824) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2025-11-13 |