| NPI | 1801374186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11809466-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor (Licence: OR T-17-398) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 11809466-6006) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-09-20 |