| NPI | 1487852174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 5709) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 5709) |
| 101YM0800X Counselor, Mental Health (Licence: SC 5709) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2014-10-24 |