| NPI | 1598156747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 8475-123) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 16940-130) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16042-131) | |
| 104100000X Social Worker (Licence: WI 129056-121) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2021-09-08 |