| NPI | 1417372491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC lcas-22606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011850) |
| 1041C0700X Social Worker, Clinical (Licence: NC c012947) | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2022-08-11 |