| NPI | 1174641450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW 1100) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ID LCSW 1100) |
| 101Y00000X Counselor (Licence: ID LCSW 1100) | |
| 101YM0800X Counselor Mental Health (Licence: ID LCSW 1100) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-09-12 |