| NPI | 1285807651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10644) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1268) |
| 1041C0700X Social Worker, Clinical (Licence: NC C007429) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2020-09-23 |