| NPI | 1871156943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-25974) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-06-21 |