| NPI | 1356875256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC0464) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD AO4751) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |