| NPI | 1255668919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 11445) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID CANC-118030) |
| 104100000X Social Worker (Licence: ID LSW-27634) | |
| 104100000X Social Worker (Licence: ID 27634) | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2019-01-14 |