| NPI | 1881395846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SD 6394) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SD 22121933) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-08-21 |