| NPI | 1639592066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 12058) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2021-11-19 |