| NPI | 1518070168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL C-4436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0008953) |
| 1041C0700X Social Worker, Clinical (Licence: NC A000417) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-07-21 |