| NPI | 1023324522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 401) |
| 1041C0700X Social Worker Clinical (Licence: OK 4510) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2013-11-25 |