| NPI | 1326078031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003930A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 104907) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 00178) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-08-03 |