| NPI | 1225045776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 2952) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 11476) |
| 1041C0700X Social Worker Clinical (Licence: WI 2952-123) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-02-06 |