| NPI | 1518149418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06865) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01078) |
| 104100000X Social Worker (Licence: KS 9354) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2025-07-31 |