| NPI | 1821817107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 14185277-3502) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 14185277-6006) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2026-08-31 |