| NPI | 1033485552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8347-123) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 264068639) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15906132) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16639130) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 120983121) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2022-03-03 |