| NPI | 1346643426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9038) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15612-132) |
| 104100000X Social Worker (Licence: WI 9038) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2022-02-15 |