| NPI | 1194296400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257149) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001598A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34008363A) | |
| Enumeration Date | 2018-12-13 |
| Last Update Date | 2023-10-11 |