| NPI | 1598860181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C0131934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW1910) |
| 1041C0700X Social Worker, Clinical (Licence: HI 4907) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 11619) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 7240) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-03-28 |