| NPI | 1508269127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11375) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 508110) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904007157) | |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2024-04-18 |