| NPI | 1477960409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 8371) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 127) |
| 104100000X Social Worker (Licence: MO 2014004990) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2021-09-30 |