| NPI | 1083888317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4644) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1399) |
| 1041C0700X Social Worker, Clinical (Licence: MN 28663) | |
| 405300000X Prevention Professional (Licence: LA 1078) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2021-06-15 |