| NPI | 1922841071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P022420) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-30931) |
| 101YM0800X Counselor, Mental Health (Licence: NC P022420) | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-08-05 |