| NPI | 1295009421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008347) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000262) |
| 1041C0700X Social Worker, Clinical (Licence: MD 16018) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2024-06-21 |