| NPI | 1619161668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC LC50078186) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078186) |
| 1041C0700X Social Worker, Clinical (Licence: MD 13471) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904006408) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-06-12 |