| NPI | 1821344284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC Co11393) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21212) |
| 1041C0700X Social Worker, Clinical (Licence: NC P009930) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2023-07-10 |