| NPI | 1285127530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05319) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 752) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927568) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-03-11 |