| NPI | 1083916795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0945) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2018-05-14 |