| NPI | 1164894366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011086) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22399) |
| 1041C0700X Social Worker, Clinical (Licence: NC P010031) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2017-12-21 |