| NPI | 1336411297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1961) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2020-12-11 |