| NPI | 1730307158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005564) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1797) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW10751) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-05-18 |