| NPI | 1801300983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103364) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0906013876) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2024-06-12 |