| NPI | 1528577301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC20774) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60864092) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC8055) | |
| 1041C0700X Social Worker Clinical (Licence: WA LW61196449) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-04-05 |