| NPI | 1235479551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8082-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15675-132) |
| 1041C0700X Social Worker, Clinical (Licence: WI 128174-121) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2016-07-27 |