| NPI | 1982621462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NH 1006) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 513) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-09-11 |