| NPI | 1710270277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-12876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079342) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LASAC-13195) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 507588) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2013-09-09 |