| NPI | 1316974918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW5821) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW5821) |
| 104100000X Social Worker (Licence: FL SW5821) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW5821) | |
| 106H00000X Marriage & Family Therapist (Licence: FL SW5821) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |