| NPI | 1033109640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-10615) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 17-10-02) |
| 1041C0700X Social Worker Clinical (Licence: AR 9978-C) | |
| 1041C0700X Social Worker Clinical (Licence: WA LW00005241) | |
| 1041C0700X Social Worker Clinical (Licence: MI 6801088449) | |
| 1041C0700X Social Worker Clinical (Licence: OR L3248) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2022-07-21 |