| NPI | 1346532728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9471-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15586-131) |
| 104100000X Social Worker | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2022-04-08 |