| NPI | 1801202429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010223) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21289) |
| 101YP2500X Counselor, Professional (Licence: NC QS135516) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2025-08-18 |