| NPI | 1295935963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LCSW-37255) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 1160007) |
| 104100000X Social Worker (Licence: ID LMSW-27972) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2019-06-10 |