| NPI | 1992424238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 21348) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 50092-0322) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-05-28 |