| NPI | 1346509247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI LCSW-3867) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: HI 1704-12) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2023-03-04 |