| 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 (Licence: SC 17077) |
| 104100000X Social Worker | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2025-01-06 |