| NPI | 1295104677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020042435) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2015031439) |
| 104100000X Social Worker (Licence: MO 2015031439) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2021-12-17 |