| NPI | 1295063287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4483) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 075) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 056) | |
| 104100000X Social Worker (Licence: KS 7511) | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2018-04-04 |