| NPI | 1407158165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004130) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 3256) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW6986) | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2020-05-06 |