| NPI | 1437439031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ 13185) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ 10066) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2019-08-12 |