| NPI | 1902674872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 14393) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-11-21 |