| NPI | 1194275032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009060) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102724) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 1640) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2021-08-27 |