| NPI | 1144367269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L11302) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR CADC-III) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-01-20 |