| NPI | 1457827909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011141) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103315) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0732000099) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-04-10 |