| NPI | 1295996858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 1290) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AK 4053) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-05-19 |