| NPI | 1427227123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 3387) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 33005393A) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN CIV-1405) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN CCDP-D-58) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2013-01-18 |