| NPI | 1811327422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008632) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C008632) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21500) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2017-05-11 |