| NPI | 1699021030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9287-C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 487) |
| 1041C0700X Social Worker, Clinical (Licence: KS 4152) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2012026487) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2023-08-08 |