| NPI | 1598164600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1136-3618C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 1136-3618C) |
| 101YM0800X Counselor, Mental Health (Licence: AL 1136-3618C) | |
| 1041C0700X Social Worker, Clinical (Licence: AL 3618C) | |
| 101Y00000X Counselor (Licence: AL 1136-3618C) | |
| 106H00000X Marriage & Family Therapist (Licence: AL 1136-3618C) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2017-03-28 |