| NPI | 1225464316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11496) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2016-03-18 |