| NPI | 1598728172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002108) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101390) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-12-14 |