| NPI | 1437380763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: SD 3118) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1945) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2024-03-13 |