| NPI | 1427127323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 1041C0700X) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 008014) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 120R40) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-02-28 |