| NPI | 1417490632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 1804-121) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2020-11-25 |