| NPI | 1356637672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4724) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 7748) |
| 101YM0800X Counselor Mental Health (Licence: KS 7748) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: KS 638) | |
| 104100000X Social Worker (Licence: KS 7748) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2022-11-15 |