| NPI | 1407389067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC P011217) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24326) |
| 1041C0700X Social Worker, Clinical (Licence: NC P011217) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2020-10-12 |