| NPI | 1417079856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCSW-29180) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ID 23526) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2023-03-23 |