| NPI | 1386813715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9769) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 100276) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 100472) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2021-12-02 |