| NPI | 1568594372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7135-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7135-123) |
| 101Y00000X Counselor (Licence: WI 15259-135) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15135-132) | |
| 104100000X Social Worker (Licence: WI 7135-123) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-03-07 |