| NPI | 1336689553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 12555) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 17036) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2021-08-18 |