| NPI | 1467833616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4946) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LAC 111) |
| 104100000X Social Worker (Licence: KS 8419) | |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2019-12-30 |