| NPI | 1841575602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013130) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2131) |
| 1041C0700X Social Worker, Clinical (Licence: NC PO12615) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2022-10-03 |