| NPI | 1396332466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2538) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1185) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH EL05492) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0134103) | |
| 1041C0700X Social Worker, Clinical (Licence: NH EL06575) | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2022-02-18 |