| NPI | 1003961814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3407) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 5002) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0981) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001318A) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-05-28 |