| NPI | 1922374560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 2212) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C009194) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-12-14 |