| NPI | 1497295240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010769) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14083) |
| 1041C0700X Social Worker, Clinical (Licence: TX 60673) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2019-01-23 |