| NPI | 1477668598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C008650) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 1501263) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 21939) | |
| 1041C0700X Social Worker Clinical (Licence: SC 8680) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-02-04 |