| NPI | 1609020387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000947) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2009-01-08 |