| NPI | 1043507346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 901-122) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15431-131) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |