| NPI | 1447589411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3781) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010002) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1493-09) | |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2018-01-04 |