| NPI | 1033470463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009290) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 20564) |
| 1041C0700X Social Worker Clinical (Licence: NC P006717) | |
| 1041C0700X Social Worker Clinical (Licence: DC LC200002462) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2025-05-08 |