| NPI | 1437390762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV BP00938877) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV BP00938877) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-19 |