| NPI | 1699968834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ 11813) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ 11431) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2016-10-20 |