| NPI | 1629247416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009710) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1414) |
| 1041C0700X Social Worker, Clinical (Licence: NC C005834) | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2024-09-24 |