| NPI | 1184740151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008676) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1912) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000454) | |
| 104100000X Social Worker (Licence: NC C008676) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904009176) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-06-11 |