| NPI | 1144786658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9598-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18467-130) |
| 104100000X Social Worker (Licence: WI 131240-121) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2021-01-26 |