| NPI | 1447526371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0108688) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 0000657) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3035) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2016-10-06 |