| NPI | 1467522979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005041) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 12064) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 508240) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA C0160) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA MAC 508240) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ MAC 508240) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2017-03-16 |