| NPI | 1164810628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-09-28) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |