| NPI | 1598985293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 34002997A) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-14 |