| NPI | 1578976882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4088) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1861-15) |
| 1041C0700X Social Worker, Clinical (Licence: HI LSW-1925) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-07-05 |