| NPI | 1669882981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 942) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS LAC 470) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-10-22 |