| NPI | 1255743423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DE Q4-0010230) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 1944) |
| 104100000X Social Worker | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-10-17 |