| NPI | 1568998086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 8043) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 100) |
| 104100000X Social Worker (Licence: KS 10216) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |