| NPI | 1619241387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36230) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: ID LMSW-30973) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2017-02-14 |