| NPI | 1487406294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012311) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 2037) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW024141) | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |