| NPI | 1407031594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2273) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2000174407) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2481) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2021-02-16 |