| NPI | 1245771914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22495) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C011781) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2023-04-27 |