| NPI | 1497247761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 20094) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 11671) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW20094) | |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2022-11-30 |