| NPI | 1063419158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10339) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CAS 3328) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23423) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C008226) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2019-02-27 |