| NPI | 1629492079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 18-05-24) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2018-11-12 |