| NPI | 1962777284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 14711) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17186-132) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 117368) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS20725) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW19175) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 11820-123) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2025-11-05 |