| NPI | 1073009379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 172440) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AK 4582) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-01-02 |