| NPI | 1184105967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1846) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 002262) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |