| NPI | 1104116839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 8880-120) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 15323-132) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2014-02-14 |