| NPI | 1366090300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL SW16256) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2020-04-07 |