| NPI | 1053045542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P018055) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: NC 200500827) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-28 |