| NPI | 1265532527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006358) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1615) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-04-03 |