| NPI | 1366690968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-07580) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: HI 1336-07) |
| 1041C0700X Social Worker Clinical (Licence: HI LCSW-3725) | |
| 1041C0700X Social Worker Clinical (Licence: CO CSW-9923427) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2017-04-13 |