| NPI | 1689236267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 132334-121) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16394-131) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18586130) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16551-132) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2022-08-23 |