| NPI | 1528176450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60754941) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 875) |
| 1041C0700X Social Worker, Clinical (Licence: MT 517) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-05-13 |