| NPI | 1730337262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-2696) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0092671) |
| 1041C0700X Social Worker Clinical (Licence: AZ LCSW-1129) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |