| NPI | 1013275429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007078) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2490) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2020-07-10 |