| NPI | 1457527673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 9701) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1309) |
| 1041C0700X Social Worker Clinical (Licence: NC C006125) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2016-11-23 |