| NPI | 1568688307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007066) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000622) |
| 1041C0700X Social Worker, Clinical (Licence: CT 003981) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-09-20 |