| NPI | 1457665291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4331) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 147) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 601) | |
| 104100000X Social Worker (Licence: KS 5744) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2018-04-04 |