| NPI | 1619392040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 113438) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA 13115) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2023-10-09 |