| NPI | 1295380541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 3074G) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 3074G) |
| 101YM0800X Counselor, Mental Health (Licence: 3074G) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |