| NPI | 1972873032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012806) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-23708) |
| 101YM0800X Counselor Mental Health (Licence: NC P011460) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2021-01-26 |