| NPI | 1316422280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041S0200X Social Worker, School | |
| 251S00000X Community/Behavioral Health | |
| 251S00000X Community/Behavioral Health (Licence: LA 15228) | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2022-10-07 |