| NPI | 1003130139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13688) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC0218) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2018-03-17 |