| NPI | 1912031956 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-1467) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-1642) | 
| Enumeration Date | 2007-03-14 | 
| Last Update Date | 2025-09-11 |