| NPI | 1275826620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7910-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15326-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 126852) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2019-07-09 |