| NPI | 1699119941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 100520) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61170290) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional (Licence: AK 106272) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 0799121) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 079912) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-03-05 |