| NPI | 1740667195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011421) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC LCAS21101) |
| 104100000X Social Worker (Licence: SC 11518) | |
| 1041C0700X Social Worker, Clinical (Licence: NC P010158) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS21101) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2020-12-07 |