| NPI | 1326383639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3223) |
| 104100000X Social Worker (Licence: NC P006697) | |
| 104100000X Social Worker (Licence: MI 6851100683) | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2023-08-08 |