| NPI | 1396182622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 6802087103) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2017-04-05 |