| NPI | 1295003952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021005484) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 26954) |
| 104100000X Social Worker (Licence: TX 52441) | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2023-01-05 |