| NPI | 1497714141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005297) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0904005297) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000841) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C006755) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2011-12-22 |