| NPI | 1033501366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 2687-120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15337-135) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15380-132) | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2023-09-11 |