| NPI | 1962815597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P008910) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20599) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2024-11-27 |