| NPI | 1023534419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-50538) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-62407) | |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0096) | |
| 1041C0700X Social Worker, Clinical (Licence: I.2103325) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2024-07-03 |