| NPI | 1295088979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 087886) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2020-12-09 |