| NPI | 1114479839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011666) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22914) |
| 1041C0700X Social Worker, Clinical (Licence: NC P010561) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2020-09-29 |