| NPI | 1104973189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C007454) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 3857) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 7446645) | |
| 104100000X Social Worker (Licence: CA 23056) | |
| 163W00000X Registered Nurse (Licence: NC 248219) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-06-04 |