| NPI | 1154757821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17221) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920222) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000866) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924074) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2020-09-22 |