| NPI | 1497908255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006109) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC C006109) |
| 101YM0800X Counselor, Mental Health (Licence: NC C006109) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2022-10-26 |