| NPI | 1235105339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI CSW00940) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA MAC 507524) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2014-04-18 |