| NPI | 1447408133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013135) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24346) |
| 1041C0700X Social Worker, Clinical (Licence: NC P012359) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2022-10-31 |