| NPI | 1447896881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SD 5000) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 22041902) |
| 1041C0700X Social Worker, Clinical (Licence: SD 6153) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2023-02-23 |