| NPI | 1427038728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: C1559) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AR A-111) |
| 1041C0700X Social Worker Clinical (Licence: AR C1559) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2014-03-28 |