| NPI | 1235347139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I07494) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP2180) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW6078) | |
| 1041C0700X Social Worker, Clinical (Licence: NM C07494) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-04-29 |