| NPI | 1538688791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 15565) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 15565) |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2024-09-05 |