| NPI | 1437531589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 37862) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 4510) |
| 101YM0800X Counselor, Mental Health (Licence: MT 37862) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-06-11 |