| NPI | 1861899643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008795) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2343) |
| 101YM0800X Counselor, Mental Health (Licence: NC C008795) | |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2021-04-08 |