| NPI | 1336298868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005396) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 15514) |
| 101YP2500X Counselor Professional (Licence: NC C005396) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-03-17 |