| NPI | 1174976328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9340) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16318) |
| 104100000X Social Worker (Licence: WI 128617) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2020-01-29 |