| NPI | 1013287259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1786) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 008258) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 11143) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 2055) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2021-07-08 |