| NPI | 1811229362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009292) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC SW.11115CP) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2850-A) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2023-08-08 |