| NPI | 1508856451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 306) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA C053700518) |
| 1041C0700X Social Worker Clinical (Licence: AZ LCSW-20768) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2022-12-16 |