| NPI | 1386879674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0082832) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000622) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 000196) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW9437) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 079468) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2016-12-29 |