| NPI | 1518562958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0011831) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: DE 1702) |
| 104100000X Social Worker (Licence: DE Q3-0000017) | |
| 1041C0700X Social Worker Clinical (Licence: PA CW021886) | |
| 171M00000X Case Manager/Care Coordinator (Licence: DE 4245538) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-04-29 |