| NPI | 1215299755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 8421) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 925) |
| 104100000X Social Worker (Licence: KS 8421) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-23 |