| NPI | 1518022185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 00041103) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1438) |
| 1041C0700X Social Worker, Clinical (Licence: SD 1819) | |
| 1041C0700X Social Worker, Clinical (Licence: ND 1553) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |