| NPI | 1184956989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1367) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1088) |
| 101YM0800X Counselor, Mental Health (Licence: NE 4076) | |
| 104100000X Social Worker (Licence: NE 1449) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2021-09-01 |