| NPI | 1174813273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 1987) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1454) |
| 1041C0700X Social Worker, Clinical (Licence: WI 1987) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2021-05-20 |