| NPI | 1023517943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15309) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 510189) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW007948) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2023-11-06 |