| NPI | 1750510863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 7792-120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 13862-131) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |