| NPI | 1457700312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1824) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1126) |
| 1041C0700X Social Worker, Clinical (Licence: WA 60992547) | |
| 1041C0700X Social Worker, Clinical (Licence: HI 4487) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 09925885) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 77507) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2019-10-16 |