| NPI | 1912615048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC P023374) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 31468) |
| 1041C0700X Social Worker, Clinical (Licence: NC P023374) | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2026-03-26 |