| NPI | 1326220658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012682) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21693) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW008521) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2024-08-26 |