| NPI | 1942884234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE CD-0000089) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DE Q3-0000270) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |