| NPI | 1578522652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50078166) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC M11132005) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2019-05-07 |