| NPI | 1538549019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21714) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010949) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-12-18 |