| NPI | 1265421937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10157) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC0396) |
| 1041C0700X Social Worker, Clinical (Licence: MD 14474) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2014-01-31 |