| NPI | 1063912335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 10108693-3502) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 10108693-6018) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2022-07-21 |