| NPI | 1508272063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 60253336) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2019-04-25 |