| NPI | 1679809289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001361) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 1081) |
| 101YM0800X Counselor, Mental Health (Licence: DE CD-0000076) | |
| 104100000X Social Worker (Licence: PA SW126752) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2023-10-06 |