| NPI | 1598284671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 0009921289) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACB.0008448) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-08-10 |