| NPI | 1841012739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-30321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P021543) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2025-01-02 |