| NPI | 1467445635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00944073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 160) |
| 1041C0700X Social Worker, Clinical (Licence: GA 3748) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 106912) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2016-05-09 |