| NPI | 1437454345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: HI LSW-2877-0) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01631-L) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2022-03-25 |