| NPI | 1215451539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW022536) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0001348) |
| 1041C0700X Social Worker Clinical (Licence: CO CSW.09926275) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2024-04-03 |