| NPI | 1891184008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4801) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 3087-24NR) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2024-12-13 |