| NPI | 1982255980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014843) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26429) |
| 104100000X Social Worker (Licence: OH I.2304359) | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-08-31 |