| NPI | 1558842831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C016009) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 20262) |
| 1041C0700X Social Worker Clinical (Licence: NC P012786) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2024-04-23 |