| NPI | 1477692937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC Lc200001959) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC LC200001959) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801059388) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-11-12 |