| NPI | 1124534912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 7341) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-003288-2014) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW14806) | |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2020-10-08 |