| NPI | 1427350396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL lcsw80545) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 4828) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2023-10-30 |