| NPI | 1033126198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1378-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI cert #1344) |
| 1041C0700X Social Worker, Clinical (Licence: WI 1378) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-12-06 |