| NPI | 1285010009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9776-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 130311-121) |
| 1041C0700X Social Worker, Clinical (Licence: WI 130311-121) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2021-10-09 |