| NPI | 1386026649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID lmsw- 33045) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID LMSW-33045) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |