| NPI | 1235275025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC303286) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 6587) |
| 1041C0700X Social Worker, Clinical (Licence: NY R046839-1) | |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1262) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 11513) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012053) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-03-01 |