| NPI | 1245380666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-155255) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 423) |
| 104100000X Social Worker (Licence: LA 9400) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-01-18 |