| NPI | 1881457976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: 135097-121) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20486-130) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2025-01-23 |