| NPI | 1497312748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013613) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 3236) |
| 1041C0700X Social Worker, Clinical (Licence: NC C014529) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25492) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2022-04-05 |