| NPI | 1437165099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6318-C) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 944) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 903) | |
| 1041C0700X Social Worker, Clinical (Licence: MT 796) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-04-13 |