| NPI | 1962866517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010324) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2018-12-11 |