| 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) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2024-08-09 |