| NPI | 1679803118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 2317) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 006) |
| 101YM0800X Counselor, Mental Health (Licence: PR 2317) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2015-05-26 |