| NPI | 1598213365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 13031) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: GA MSW008330) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2020-11-16 |