| NPI | 1760751747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 13588) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 10426) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ ICADC709921) | |
| 1041C0700X Social Worker, Clinical (Licence: UT LCSW 8144655-3501) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2013-08-07 |