| NPI | 1932622057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018696) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23010) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2025-06-30 |