| NPI | 1730635426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006258) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-003037-2014) |
| 1041C0700X Social Worker, Clinical (Licence: TN 6379) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW11679) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-07-19 |