| NPI | 1376826719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22353) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P005543) |
| 104100000X Social Worker (Licence: NC P015881) | |
| 104100000X Social Worker (Licence: AZ LMSW-19637) | |
| 1041S0200X Social Worker, School (Licence: NC 1217085) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-15573) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2024-06-26 |