| NPI | 1356726764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005881) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA MSW006516) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 509735) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2017-04-07 |