| NPI | 1437850443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27466) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII200001200) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003058) | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-09-20 |