| NPI | 1023071941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS21001) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 20963) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149009716) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60059976) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2017-04-26 |