| NPI | 1881404077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009927121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2025052163) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2026-05-11 |