| NPI | 1508318908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW-9796) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LAC-501) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |