| NPI | 1235182353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0000711) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: DE CD-0000018) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-01-18 |