| NPI | 1518276377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 12712) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 10011811) |
| 101Y00000X Counselor | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2021-08-12 |