| NPI | 1174585988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7629-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 4701) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16060-130) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 10021612) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-04-20 |