| NPI | 1942650791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13030) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22696) |
| 1041C0700X Social Worker, Clinical (Licence: NC P010484) | |
| 1041C0700X Social Worker, Clinical (Licence: FL 19727) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-12-14 |