| NPI | 1558956276 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW-43289)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID LMSW-43289)  | 
| 1041C0700X Social Worker, Clinical (Licence: ID LMSW-43289)  | |
| Enumeration Date | 2021-03-04 | 
| Last Update Date | 2023-11-09 |